SITAGLIPTIN SANDOZ 50 mg FILM-COATED TABLETS

Introduction

Package Leaflet:information for the patient

Sitagliptin Sandoz 25 mg film-coated tablets EFG

Sitagliptin Sandoz 50 mg film-coated tablets EFG

Sitagliptin Sandoz 100 mg film-coated tablets EFG

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

• Keep this leaflet, you may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.

• This medicine has been prescribed for you only, and you should not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

1. What is Sitagliptin Sandoz and what is it used for
2. What you need to know before you take Sitagliptin Sandoz
3. How to take Sitagliptin Sandoz
4. Possible side effects

5 Storage of Sitagliptin Sandoz

1. Contents of the pack and other information

1. What is Sitagliptin Sandoz and what is it used for

Sitagliptin Sandoz contains the active substance sitagliptin, which belongs to a class of medicines called DPP-4 inhibitors (dipeptidyl peptidase-4 inhibitors) that reduce blood sugar levels in adult patients with type 2 diabetes mellitus.

This medicine helps to increase the amount of insulin produced after a meal and decreases the amount of sugar produced by the body.

Your doctor has prescribed this medicine to help you reduce your blood sugar level, which is too high due to your type 2 diabetes. This medicine can be used alone or in combination with other medicines (insulin, metformin, sulfonylureas, or glitazones) that reduce blood sugar levels, which you may already be taking for your diabetes, along with your diet and exercise program.

What is type 2 diabetes?

Type 2 diabetes is a disease in which your body does not produce enough insulin and the insulin it produces does not work as well as it should. Your body may also produce too much sugar. When this happens, sugar (glucose) builds up in the blood. This can lead to serious medical problems, such as heart disease, kidney disease, blindness, and amputation.

2. What you need to know before you take Sitagliptin Sandoz

Do not take Sitagliptin Sandoz:

• if you are allergic to sitagliptin or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Talk to your doctor or pharmacist before starting to take sitagliptin.

There have been reports of pancreatitis (inflammation of the pancreas) in patients treated with sitagliptin (see section 4).

If you notice blisters on your skin, it may be a sign of a disease called bullous pemphigoid. Your doctor may ask you to stop taking sitagliptin.

Tell your doctor if you have or have had:

• A disease of the pancreas (such as pancreatitis).
• Gallstones, alcohol dependence, or very high levels of triglycerides (a type of fat) in the blood. These medical conditions may increase your risk of developing pancreatitis (see section 4).
• Type 1 diabetes.
• Diabetic ketoacidosis (a complication of diabetes that causes high blood sugar levels, rapid weight loss, nausea, or vomiting).
• Any current or past kidney problems.
• An allergic reaction to sitagliptin (see section 4).

It is unlikely that this medicine will cause low blood sugar because it does not work when blood sugar levels are low. However, when this medicine is used in combination with a medicine that contains a sulfonylurea or with insulin, low blood sugar (hypoglycemia) may occur. Your doctor may reduce the dose of your sulfonylurea or insulin medicine.

Children and adolescents

Children and adolescents under 18 years of age should not use this medicine. It is not effective in children and adolescents aged between 10 and 17 years. It is not known if this medicine is safe and effective when used in children under 10 years of age.

Other medicines and Sitagliptin Sandoz

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

In particular, tell your doctor if you are taking digoxin (a medicine used to treat irregular heartbeat and other heart problems). Your doctor may need to check your digoxin levels if you are taking sitagliptin.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. You should not take this medicine during pregnancy.

It is not known if this medicine passes into breast milk. You should not take this medicine if you are breastfeeding or planning to breastfeed.

Driving and using machines

This medicine has no or negligible influence on the ability to drive and use machines. However, dizziness and somnolence have been reported, which may affect your ability to drive or use machines.

Also, taking this medicine with sulfonylurea or insulin medicines may cause low blood sugar levels (hypoglycemia), which may affect your ability to drive or use machines or work without a secure support.

Sitagliptin Sandoz contains sodium

This medicine contains less than 23 mg of sodium (1 mmol) per tablet; this is essentially "sodium-free".

3. How to take Sitagliptin Sandoz

Take this medicine exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist.

The recommended dose is:

• one 100 mg film-coated tablet
• once a day
• by mouth.

If you have kidney problems, your doctor may prescribe a lower dose (such as 25 mg or 50 mg).

You can take this medicine with or without food and drinks.

Your doctor may prescribe this medicine alone or with other medicines that also reduce blood sugar levels. Diet and exercise can help your body use sugar better. It is important that you follow the diet and exercise recommended by your doctor while taking sitagliptin.

If you take more Sitagliptin Sandoz than you should

If you take more of this medicine than you should, contact your doctor immediately.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the medicine and the amount ingested.

If you forget to take Sitagliptin Sandoz

If you forget a dose, take it as soon as you remember. If you do not remember until the time of your next dose, then skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for forgotten doses.

If you stop taking Sitagliptin Sandoz

Keep taking this medicine while your doctor tells you to, so it can continue to help control your blood sugar levels. You should not stop taking this medicine without first talking to your doctor.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

STOP taking sitagliptin and contact a doctor immediatelyif you notice any of the following serious side effects:

• Severe and persistent abdominal pain (in the stomach area) that may radiate to the back, with or without nausea and vomiting, as these may be signs of pancreatitis.

If you have a severe allergic reaction (frequency not known), including skin rash, hives, blisters on the skin/peeling of the skin, and swelling of the face, lips, tongue, and throat that may cause difficulty breathing or swallowing, stop taking this medicine and consult your doctor immediately. Your doctor will prescribe a medicine to treat the allergic reaction and change your medicine for diabetes treatment.

Some patients experienced the following side effects after adding sitagliptin to their treatment with metformin:

Common (may affect up to 1 in 10 people): low blood sugar, nausea, flatulence, vomiting.

Uncommon (may affect up to 1 in 100 people): stomach pain, diarrhea, constipation, somnolence.

Some patients experienced different types of stomach discomfort when starting the combination of sitagliptin and metformin together (frequency classified as common).

Some patients experienced the following side effects while taking sitagliptin in combination with a sulfonylurea and metformin:

Very common (may affect more than 1 in 10 people): low blood sugar levels.

Common: constipation.

Some patients experienced the following side effects while taking sitagliptin and pioglitazone:

Common: flatulence, swelling of hands or feet.

Some patients experienced the following side effects while taking sitagliptin in combination with pioglitazone and metformin:

Common: swelling of hands or feet.

Some patients experienced the following side effects while taking sitagliptin in combination with insulin (with or without metformin):

Common: flu.

Uncommon: dry mouth.

Some patients experienced the following side effects while taking sitagliptin alone during clinical trials or after approval, alone and/or in combination with other diabetes medicines:

Common: low blood sugar, headache, upper respiratory tract infection, nasal congestion or runny nose, and sore throat, arthrosis, pain in the arm or leg.

Uncommon: dizziness, constipation, itching.

Rare: reduced platelet count.

Frequency not known: kidney problems (which may require dialysis), vomiting, joint pain, muscle pain, back pain, interstitial lung disease, bullous pemphigoid (a type of blistering skin condition).

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Sitagliptin Sandoz

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the blister and carton after EXP. The expiry date refers to the last day of the month shown.

This medicine does not require any special storage conditions.

Open the blister just before taking the tablets.

Do not use this medicine if you notice visible signs of tampering.

Medicines should not be disposed of via wastewater or household waste. Return any unused medicine to your pharmacist. This will help to protect the environment.

6. Contents of the pack and other information

Composition of Sitagliptin Sandoz

• The active substance is sitagliptin.

Sitagliptin Sandoz 25 mg film-coated tablets EFG

Each film-coated tablet contains sitagliptin hydrochloride monohydrate equivalent to 25 mg of sitagliptin.

Sitagliptin Sandoz 50 mg film-coated tablets EFG

Each film-coated tablet contains sitagliptin hydrochloride monohydrate equivalent to 50 mg of sitagliptin.

Sitagliptin Sandoz 100 mg film-coated tablets EFG

Each film-coated tablet contains sitagliptin hydrochloride monohydrate equivalent to 100 mg of sitagliptin.

• The other excipients are: calcium hydrogen phosphate (E341), microcrystalline cellulose (E460), sodium carmellose (E468), magnesium stearate (E470b), sodium and magnesium stearate, hypromellose (E464), hydroxypropylcellulose (E463), macrogol (E1521), titanium dioxide (E171), yellow iron oxide (E172), red iron oxide (E172), black iron oxide (E172) (only applicable for the 100 mg dose), and talc (E553b).

Appearance and packaging

Sitagliptin Sandoz 25 mg film-coated tablets EFG

Film-coated tablet, biconvex, round, pink, with the marking "ST 25" on one side. With a diameter of 5.7 - 6.6 mm.

Sitagliptin Sandoz 50 mg film-coated tablets EFG

Film-coated tablet, biconvex, round, light pink, with the marking "ST 50" on one side. With a diameter of 7.7 - 8.6 mm.

Sitagliptin Sandoz 100 mg film-coated tablets EFG

Film-coated tablet, biconvex, round, light brown, with the marking "ST 100" on one side. With a diameter of 9.7 - 10.6 mm.

Sitagliptin Sandoz is available in

OPA/Al/PVC//Al blister and transparent PVC/PE/PVDC//Al blister containing 28, 30, 50, 56, 60, 84, 90, 98, 100, 105, 108, 110, 112, 120, 168, 180, 196, 198, or 200 film-coated tablets.

Perforated unit dose blister containing 28x1, 30x1, 50x1, 56x1, 84x1, 90x1, 98x1 film-coated tablets.

HDPE bottle with child-resistant polypropylene cap containing 30, 100, or 120 film-coated tablets.

Not all pack sizes may be marketed.

Marketing authorisation holder and manufacturer

Marketing authorisation holder

Sandoz Farmacéutica, S.A.

Centro Empresarial Parque Norte

Edificio Roble

C/ Serrano Galvache, 56

28033 Madrid

Spain

Manufacturer

Lek Pharmaceuticals d.d.

Trimlini 2D

9220 Lendava

Slovenia

or

Lek Pharmaceuticals d.d.

Verovškova, 57

SLO-1526 Ljubljana

Slovenia

or

Lek S.A.

ul. Podlipie 16,

Strykow, 95-010

Poland

This medicine is authorised in the Member States of the European Economic Area under the following names:

Austria: Sitagliptin Sandoz 25 mg – Filmtabletten

Sitagliptin Sandoz 50 mg – Filmtabletten

Sitagliptin Sandoz 100 mg – Filmtabletten

Belgium: Sitagliptin Sandoz 25 mg filmomhulde tabletten

Sitagliptin Sandoz 50 mg filmomhulde tabletten

Sitagliptin Sandoz 100 mg filmomhulde tabletten

Denmark: Sitagliptin Sandoz

Finland: Sitagliptin Sandoz 25 mg kalvopäällysteiset tabletit

Sitagliptin Sandoz 50 mg kalvopäällysteiset tabletit

Sitagliptin Sandoz 100 mg kalvopäällysteiset tabletit

France: SITAGLIPTINE SANDOZ 50 mg, comprimé pelliculé

SITAGLIPTINE SANDOZ 100 mg, comprimé pelliculé

Hungary: Sitagliptin Sandoz 25 mg, 50 mg, 100 mg filmtabletta

Iceland: Sitagliptin Sandoz 25 mg filmuhúðaðar töflur

Sitagliptin Sandoz 50 mg filmuhúðaðar töflur

Sitagliptin Sandoz 100 mg filmuhúðaðar töflur

Italy: Sitagliptin Sandoz

Norway: Sitagliptin Sandoz 25 mg filmdrasjerte tabletter

Sitagliptin Sandoz 50 mg filmdrasjerte tabletter

Sitagliptin Sandoz 100 mg filmdrasjerte tabletter

Netherlands: Sitagliptine Sandoz 25 mg, filmomhulde tabletten

Sitagliptine Sandoz 50 mg, filmomhulde tabletten

Sitagliptine Sandoz 100 mg, filmomhulde tabletten

Portugal: Sitagliptina Sandoz

Northern Ireland: Sitagliptin Sandoz 25mg film-coated tablets

Sitagliptin Sandoz 50mg film-coated tablets

Sitagliptin Sandoz 100mg film-coated tablets

Sweden: Sitagliptin Sandoz 25 mg filmdragerade tabletter

Sitagliptin Sandoz 50 mg filmdragerade tabletter

Sitagliptin Sandoz 100 mg filmdragerade tabletter

Date of last revision of this leaflet:February 2021

Detailed and up-to-date information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/